Evidence
Alert

Most children with life-limiting conditions still die in hospital, not home or hospice

Around seven in 10 children and young people with life-limiting conditions die in hospital, and that has changed little in the past 15 years. New research also found that children from ethnic minorities or deprived areas are more likely than others to end their lives in hospital, rather than in a hospice or at home.  ...

Collection

Why we need more inclusive research

“Health and social care research also has a fundamental role to play in helping to reduce the disparities that exist in health outcomes caused by socio-economic factors, geography, age and ethnicity. Working with partners, NIHR needs to tackle the ingrained injustices that exist in the world of research in terms of who is involved, engaged ...

Collection

Brief conversations in primary care: an opportunity to boost health

Primary care is the ideal place to offer lifestyle and mental health advice; millions of people visit every month. The briefest of conversations can make a difference. New research from the NIHR offers advice to staff on how to maximise the impact of each encounter. GPs and nurses can be reassured that individuals value their ...

Alert

Women with kidney disease can be given a personal risk assessment for pregnancy, following new research

Women with long-term (chronic) kidney disease can now be given a clear indication of the risks of pregnancy, both to themselves and to their babies. New research assesses the likelihood that a baby will be born healthy, and estimates the impact of pregnancy on the woman’s disease. Pregnancy is known to put additional strain on ...

Alert

Slip-resistant shoes would prevent injuries among NHS workers

NHS staff wearing slip-resistant footwear with proven grip are less likely to slip or fall at work than those wearing their own shoes. A new trial finds that specialist footwear could substantially reduce the risk of injury in healthcare settings.  Previous research has found that slip-resistant footwear can prevent slips in other workplaces, among fishermen ...

Alert

Loneliness is strongly linked to depression among older adults, a long-term study suggests

Depression is a major public health problem that is growing worldwide. The causes are complex and vary from person to person. However, new research estimates that up to one in five cases of depression among older adults could be prevented by reducing loneliness. The study therefore has important public health implications, highlighting the need for ...

Alert

What support do young people with sickle cell disease need when moving into adult services?

Young people with sickle cell disease may experience poor care in non-specialist settings when they transition from paediatric to adult health services. New research from This Sickle Cell Life project studied their experiences on general hospital wards and during unplanned visits to A&E departments. The research found that young people would have better experiences of ...

Alert

People with painful rheumatic conditions are at increased risk of self-harm

People with painful rheumatic conditions such as fibromyalgia, rheumatoid arthritis, and osteoarthritis are at increased risk of self-harm. New research found the risk was highest for those with fibromyalgia, who were twice as likely to harm themselves as people without the condition.  Rheumatic conditions are characterised by pain in joints, muscles and/or connective tissue. People ...

Alert

Public involvement: long-term partnerships with children and young people can improve research design

Patients and the public can provide researchers with fresh insights or recommendations based on lived experience. But it is sometimes challenging to involve public contributors meaningfully, especially when they are young. Researchers in the MAGIC study worked with a group of young people (a Young Persons Advisory Group, YPAG). They wanted to test a method ...

Alert

GPs may help people at risk of self-harm by asking open questions, acknowledging distress, and exploring positive reasons for staying alive

Simple changes to the way doctors ask questions about self-harm and suicidal thoughts could improve conversations with vulnerable patients and enable access to help and support.  A new study found that doctors tend to ask closed questions and, in some instances, inadvertently reinforce the stigma associated with suicide. These approaches made it difficult for patients ...

Alert

Low rates of self-harm do not mean low levels of distress in a disadvantaged London community

Some highly deprived areas of London have unexpectedly low rates of self-harm. New research explored why hospital data implies that self-harm is less common than expected. The study was carried out in an ethnically diverse community exposed to multiple long-term stressors such as insecure employment, poor quality housing, and high levels of crime. The study ...

Alert

Drinks labels with pictures and guidelines could improve public understanding of Government recommendations

Enhanced labels for alcoholic drinks include pictures to demonstrate their strength, plus an explicit statement of drinking guidelines. New research found that these labels could improve public awareness and understanding of the Government’s Low Risk Drinking Guidelines. Government guidelines recommend a weekly maximum of 14 units of alcohol. However, public awareness of the guidelines is ...

Alert

Misconceptions about acne lead to underuse of effective treatments; people need reliable information to manage the condition long-term

People with acne often blame themselves for their condition, wrongly thinking it is caused by their diet or skin care routine. Those who come forward for medical help often have unrealistic expectations and expect an immediate cure. New research demonstrates that such misunderstandings are a barrier to effective management of the condition.  Previous research has ...

Alert

Breast cancer screening: women with poor mental health are less likely to attend appointments

Women with poor mental health are less likely than others to come forward for breast screening, new research has found. Not attending cancer screening could partly explain why people with mental health conditions die younger than the general population. It means that cancer is more likely to be diagnosed later when it is less treatable.   ...

Alert

Gabapentin does not reduce long-term pelvic pain, and has unpleasant side effects, research finds

Gabapentin should not be used to treat women with long-term (chronic) pelvic pain. New research found that the drug does not reduce pain, nor does it improve women’s physical and emotional wellbeing. Compared to a dummy pill (placebo), gabapentin was also linked to serious side effects. More than one million women in the UK have ...

Alert

Pelvic floor muscle training can be delivered by appropriately trained non-specialists for women with prolapse, research finds

Pelvic Floor Muscle Training (PFMT) is an effective treatment for women with pelvic organ prolapse. However, there are not enough specialist clinicians to deliver it which means access to this treatment is limited. New research finds that other healthcare staff can be successfully trained and supported to deliver PFMT. This could help meet demand for ...

Alert

Specific phrases about weight management programmes help GPs make successful referrals

Specific words and phrases help GPs make successful referrals to weight management programmes in brief consultations. Research found that people who are overweight are more likely to accept a referral when GPs describe a ‘programme’ or ‘service’ – rather than a ‘club’ or ‘group’. Stating early on that the programme is both free of charge ...

Alert

Nurses and pharmacists are key to improving access to end of life medicines for people being cared for at home

Improved access to end of life (palliative) medicines is likely to help many people control their pain. New research emphasises the role of nurses and pharmacists in improving access to palliative medicines for people being cared for at home. The study makes specific recommendations. It found that most people receiving palliative care at home get ...

Alert

Healthy lifestyles increase life expectancy in people with multiple conditions (multimorbidity) by as much as in other groups

Regular exercise and a balanced diet can help overcome the negative impact of long-term diseases on life expectancy. A major new study found that middle-aged people who have multiple long-term conditions (multimorbidity) can expect to live an extra 6-7 years if they adopt a healthy lifestyle.  The research includes data on almost half a million ...

Themed Review

Experience of children and young people cared for in mental health, learning disability and autism inpatient settings

Foreword Introduction Context What are the critical influences on young people's inpatient experience? What is the best way to gain insight into young people's inpatient experience? How can understanding experience be used to improve inpatient care? Overall conclusion Illustrations Foreword In October 2019, NHSE announced the establishment of a Quality Improvement Taskforce (QIT) for inpatient ...

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